Dallas plastic surgeon, Rod J. Rohrich, M.D., delivered the keynote address at the recent International Red Sea Symposium hosted in Eilat, Israel. In his lecture, titled "Plastic Surgery 2020 - A Look Into the Future," Dr. Rohrich describes the advancing landscape of aesthetic options and how they will shape the future of plastic surgery.

In his address, Dr. Rohrich reviews the use of new technology in cosmetic medicine and examines the impact it will have moving forward on what has traditionally been a medical specialty with a strict focus on the surgical.

Topics included emerging technologies such as autologous fat grafting, the use of genomics, adult stem cell treatments, and tissue engineering – less invasive technologies which are based on each individual person’s unique biology. Also included in the discussion are better developed technologies such as the wide array of new dermal fillers and the expanding collection of noninvasive medical devices for skin treatments and body contouring.

While some plastic surgeons may be hesitant to supplement their surgical practice with these emerging technologies, Dr. Rohrich urges colleagues to be accepting and embrace the ideas if they have a proper scientific foundation. "Plastic surgeons should not be afraid to change and adapt when proven, well developed technologies and methodologies are available," says Dr. Rohrich. "What works best today may not be the best solution tomorrow."

"We must be able to become outcome-driven experts in noninvasive technology and surgical treatments for both cosmetic and reconstructive surgery," explains Dr. Rohrich. "For example, the role of minimally invasive cosmetic medicine such as facial fillers and neuromodulators like Botox are leading the revolution in the correction of facial aging in a natural manner."

As these treatments continue to be developed, Dr. Rohrich encourages a shift to the patient-driven model of care which focuses on the patient and outcomes as opposed to a physician-driven model. "We must migrate from a culture of experts to a culture of outcomes, from an opinion driven specialty to a data driven specialty," warns Dr. Rohrich, who worries that subjective analysis is too often used in place of scientific evidence.

In his address, Dr. Rohrich says that, moving forward, plastic surgeons will need to broaden their skills to become trusted practitioners in both traditional plastic surgery and advancing aesthetic options. He also stresses that embracing these evolutions can only be done in conjunction with rigorous scientific substantiation, and that plastic surgeons must continue to be wary of dubious marketing claims.

"Patients are not the only ones confused by marketing hype. Physicians can be just as vulnerable," says Dr. Rohrich, "The key is to evaluate emerging technologies based on objective data and proven clinical results."

Dr. Rod J. Rohrich holds the Betty and Warren Woodward Chair in Plastic and Reconstructive Surgery at UT Southwestern Medical Center. He also holds the UT Southwestern Medical Center Crystal Charity Ball Distinguished Chair in Plastic Surgery. Dr. Rohrich graduated from Baylor College of Medicine with high honors, and completed residencies at the University of Michigan Medical Center and fellowships at Massachusetts General Hospital/Harvard (hand/microsurgery) and Oxford University (pediatric plastic surgery). He has served as president of the American Society of Plastic Surgeons, the largest organization of board certified plastic surgeons in the world. He repeatedly has been selected by his peers as one of America's best doctors, and twice has received one of his profession's highest honors, the Plastic Surgery Educational Foundation Distinguished Service Award, which recognizes his contributions to education in plastic surgery. Dr. Rohrich participates in and has led numerous associations and councils for the advancement of plastic and reconstructive surgery. He is a native of North Dakota and is married to Dr. Diane Gibby, also a plastic surgeon and they live in Dallas with their two children.

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